Medicine and Health Sciences Commons^™

Detecting Structure In Glass Patterns: An Interocular Transfer Study, Dawn Vreven, Jarrod Berge

Dawn L Vreven

Glass patterns are visual stimuli used here to study how local orientation signals are spatially integrated into global pattern perception. We measured a form aftereffect from adaptation to both static and dynamic Glass patterns and calculated the amount of interocular transfer to determine the binocularity of the detectors responsible for the perception of global structure. Both static and dynamic adaptation produced significant form aftereffects and showed a very high degree of interocular transfer, suggesting that Glass-pattern perception involves cortical processing beyond primary visual cortex. Surprisingly, dynamic adaptation produced significantly greater interocular transfer than static adaptation. Our results suggest a functional …

The Arduous Path Toward Healthcare Reform: Is Unification Of Ideals And Realities Possible?, Christian Zimmerman, Pennie Seibert

Pennie S. Seibert

The American healthcare system is in a state of crisis, and through it, the ethical protocols of the medical profession have been called into question. The 50.7 million uninsured Americans, the rising cost of insurance for individuals and small businesses, hospital inefficiencies and scandals, and the ambiguous relationship shared by the legal and medical professions have made healthcare delivery increasingly difficult for neurosurgeons and other medical professionals to perform their jobs. By scrutinizing the current status of the healthcare system with an understanding of ideals, ethics and the realities of America’s healthcare crisis, adjustments can be made and the integrity …

Perspectives On Help-Negation, Coralie J. Wilson

Coralie J Wilson

Help-negation refers to the process of help avoidance or refusal that commonly occurs in clinical and non-clinical samples with varying forms and levels of psychological symptoms. In the last decade the effect has been established as an inverse relationship between the severity of symptoms and help-seeking for suicidal ideation, depression, and general psychological distress, for a variety of professional and non-professional help sources [see Wilson CJ, Bushnell JA, Caputi P. Early Intervention in Psychiatry, 2011; 5: 34-39, for a review]. Findings from now over 20 help-negation studies suggest that at least some types of psychological symptoms or processes associated with …

Nietzsche And Lou, Eros And Art : On Lou’S Triangles And The « Exquisite Dream » Of Sacro Monte, Babette Babich

Babette Babich

No abstract provided.

On The Order Of The Real: Nietzsche And Lacan, Babette Babich

Babette Babich

No abstract provided.

Contribution Of Behavioral Risk Factors And Obesity To Socioeconomic Differences In Colorectal Cancer Incidence, Chyke Doubeni, Jacqueline Major, Adeyinka Laiyemo, Mario Schootman, Ann Zauber, Albert Hollenbeck, Rashmi Sinha, Jeroan Allison

Chyke A. Doubeni

BACKGROUND:Health behaviors are known risk factors for colorectal cancer and are more common in low socioeconomic status (SES) populations. We evaluated the extent to which behavioral risk factors and body mass index (BMI) explain SES disparities in colorectal cancer incidence, overall and by tumor location.

METHODS: We analyzed prospective National Institutes of Health-AARP Diet and Health Study data on 506 488 participants who were recruited in 1995-1996 from six US states and two metropolitan areas and followed through 2006. Detailed baseline data on risk factors for colorectal cancer, including health behaviors, were obtained using questionnaires. SES was measured by self-reported …

Intimate Partner Violence Incidence And Continuation In A Primary Care Screening Program, Ann Coker, Vicki C. Flerx, Paige H. Smith, Daniel J. Whitaker, Mary Kay Fadden, Melinda Williams

Dan Whitaker

There are few longitudinal estimates of intimate partner violence (IPV) incidence and continuation. This report provides estimates of IPV incidence and continuation in women receiving health care in clinics participating in an IPV assessment and services intervention study. The Women's Experience with Battering Scale was used in combination with questions addressing physical and sexual assault to annually screen women for IPV. Between April 2002 and August 2005, 657 women in rural South Carolina consented and were screened at least twice. Among those with a current partner (n = 530), the majority (86.2%) had never experienced IPV. Among prevalent victims, IPV …

Partner Violence Assessment In Rural Health Care Clinic, Ann Coker, Vicki C. Flerx, Paige H. Smith, Daniel J. Whitaker, Mary Kay Fadden, Melinda Williams

Dan Whitaker

Objectives. We sought to determine the frequency of intimatepartner violence by type in a large, clinic-based, nurse-administeredscreening and services intervention project.

Methods. A brief intimate partner violence screen, which includeditems to measure sexual and physical assaults and psychologicalbattering (using the Women’s Experience With Batteringscale) was administered to consenting women receiving care at1 of 8 rural clinics in South Carolina.

Results. Between April 2002 and August 2005, 4945 eligible womenwere offered intimate partner violence screening, to which 3664(74.1%) consented. Prevalence of intimate partner violence ina current (ongoing) relationship was 13.3%, and 939 women (25.6%)had experienced intimate partner violence at some point …

Four Potential Criteria For Deciding When To Use Antidepressants Or Psychotherapy For Unipolar Depression: A Literature Review, Christopher Sharpley, Vicki Bitsika

Vicki Bitsika

Objective: To evaluate the literature supporting four potential criteria for deciding whether to use psychotherapy or pharmacology when treating depression.

Method: Literature review of the evidence from the last 10 years on presenting patient’s demographics, aetiology, comorbidity, and genetic factors, as predictors of treatment outcome efficacy.

Results: Demographic information has little support as a potential criteria for decision-making; aetiology (melancholic vs. non-melancholic) has significant support; presence of personality disorder comorbidity is unproven as a criterion but may have some value; genetic predisposition has the strongest evidence supporting it as a criteria for treatment decision-making.

Conclusion: Although some presenting cases will …

How Prostate Cancer Patients Cope With The Effects Of Diagnosis And Treatment: Development Of The Effects Of Prostate Cancer Coping Strategies Scale, Christopher Sharpley, Vicki Bitsika, David Christie

Vicki Bitsika

Background: The elevated anxiety and depression experienced by prostate cancer (PCa) patients can impair their decision-making as well as decrease their psychological well-being and weaken relationships with partner and family. Although standardised assessment models exist for identifying the symptoms of anxiety or depression, relatively little attention has been given to identifying the causal antecedents that PCa patients encounter and that may lead to anxiety or depression, nor their own attempts to cope with those antecedents. This study investigated the coping strategies used by a sample of PCa patients in response to the specific stressors and lifestyle changes that arose from …

Variability In Anxiety And Depression Over Time Following Diagnosis In Patients With Prostate Cancer, Christoper Sharpley, David Christie, Vicki Bitsika

Vicki Bitsika

To determine the presence and nature of variability in anxiety and depression in patients with prostate cancer (PCa) over 3 years following diagnosis, 442 patients with PCa completed standardized anxiety and depression inventories via survey between 1 and 36 months after receiving their initial diagnosis. Data were analyzed from a series of 3-month cohorts, and results indicated that total scores and incidence of clinically significant anxiety and depression varied over time, but that this variability was restricted to specific subfactors of anxiety and depression. Provision of effective psychological treatment to patients with PCa is discussed.

Understanding The Functionality Of Depression Among Australian Breast Cancer Patients: Implications For Cognitive And Behavioural Interventions, Christopher Sharpley, Vicki Bitsika, David Christie

Vicki Bitsika

Background: Depression in breast cancer (BCa) patients can reduce quality of life, relationships and treatment compliance, thus constituting a major target for cognitive behavioural (CBT) interventions. Although CBT treatments, which are built upon consideration of the roles of antecedents and consequences for depressive behaviour, are effective, the nature of those antecedents which trigger depression among BCa patients has received relatively little attention.

Purpose: Hypotheses were (1) to determine if BCa patients were experiencing either or both of punishment type I and II and (2) to identify if these aspects of punishment were related to overall depression.

Method: Two hundred fifty-three …

How Is Resilience Associated With Anxiety And Depression? Analysis Of Factor Score Interactions Within A Homogeneous Sample, Vicki Bitsika, Christopher Sharpley, Kylie Peters

Vicki Bitsika

Aim: To explore the ways in which resilience is associated with anxiety and depression within a homogenous sample.Methods: 401 Australian university students completed the Connor-Davidson Resilience Scale and the Zung SelfratingAnxiety and Depression Scales. Factor scores from the resilience scale were regressed against total anxiety and depression scores, combined anxiety-depression scores and the underlying factors of the combined anxiety-depression construct.Results: Self-confidence and optimism were most strongly negatively associated with anxiety and depression, followed by being decisive and solution-focussed and seeking challenges, having a strong purpose and being persistent, although different combinations of factors predicted anxiety than did depression. Spiritual beliefs …

Characteristics, Management, And Depression Outcomes Of Primary Care Patients Who Endorse Thoughts Of Death Or Suicide On The Phq-9, Amy M. Bauer, Ya-Fen Chan, Hsiang Huang, Steven D. Vannoy, Jurgen Unuzter

Steven D Vannoy

BACKGROUND: With increasing emphasis on integrat- ing behavioral health services, primary care providers play an important role in managing patients with suicidal thoughts. OBJECTIVE: To evaluate whether Patient Health Questionnaire-9 (PHQ-9) Item 9 scores are associated with patient characteristics, management, and depres- sion outcomes in a primary care-based mental health program. DESIGN: Observational analysis of data collected from a patient registry. PARTICIPANTS: Eleven thousand fifteen adults en- rolled in the Mental Health Integration Program (MHIP). INTERVENTIONS: MHIP provides integrated mental health services for safety-net populations in over 100 community health centers across Washington State. Key elements of the team-based model …

A Multisite Study Of Learning In Introductory Psychology Courses, Regan Gurung, David Daniel, R. Landrum

R. Eric Landrum

Four hundred and fifty-four students enrolled in introductory psychology at different institutions across the nation participated in a study of factors related to learning. Key measures included an instructor rating, ratings of textbook quality and helpfulness, study time, student self-evaluations of study behaviors, approach to learning, self-report of learning, and a measure of quiz performance using biopsychology and learning chapter questions from a College Board Advanced Placement exam. The authors found significant predictors of both self-reported learning (deep approach, less surface approach, instructor ratings, student self-evaluations, and study behaviors) and quiz performance (grade point average, study time, metacognitive activity, and …

When That Tune Runs Through Your Head: A Pet Investigation Of Auditory Imagery For Familiar Melodies, Andrea Halpern, Robert J. Zatorre

Andrea Halpern

The present study used positron emission tomography (PET) to examine the cerebral activity pattern associated with auditory imagery for familiar tunes. Subjects either imagined the continuation of nonverbal tunes cued by their first few notes, listened to a short sequence of notes as a control task, or listened and then reimagined that short sequence. Subtraction of the activation in the control task from that in the real-tune imagery task revealed primarily right-sided activation in frontal and superior temporal regions, plus supplementary motor area (SMA). Isolating retrieval of the real tunes by subtracting activation in the reimagine task from that in …

The Organization Of Memory For Familiar Songs, Andrea Halpern

Andrea Halpern

Investigated the organizing principles in memory for familiar songs in 2 experiments. It was hypothesized that individuals do not store and remember each song in isolation. Rather, there exists a rich system of relationships among tunes that can be revealed through similarity rating studies and memory tasks. One initial assumption was the division of relations among tunes into musical (e.g., tempo, rhythm) and nonmusical similarity. In Exp I, 20 undergraduates were asked to sort 60 familiar tunes into groups according to both musical and nonmusical criteria. Clustering analyses showed clear patterns of nonmusical similarity but few instances of musical similarity. …

Perceived And Imagined Tempos Of Familiar Songs, Andrea Halpern

Andrea Halpern

Two studies investigated the similarity of metronome settings to perceived and imagined familiar songs by subjects unselected for musical ability. In Study 1, mean tempo settings in the two tasks were about 100 beats per minute. Songs with slower perceived tempos tended to be faster in the imagery task and vice versa. In Study 2, subjects set fastest and slowest acceptable tempos for the same set of songs in the imagery mode. These settings were positively correlated with the preferred tempo for the song. Most subjects thought that there were limits on how fast or slow a song could be …

Mental Scanning In Auditory Imagery For Songs, Andrea Halpern

Andrea Halpern

Four experiments examined how people operate on memory representations of familiar songs. The tasks were similar to those used in studies of visual imagery. In one task, subjects saw a one word lyric from a song and then saw a second lyric; then they had to say if the second lyric was from the same song as the first. In a second task, subjects mentally compared pitches of notes corresponding to song lyrics. In both tasks, reaction time increased as a function of the distance in beats between the two lyrics in the actual song, and in some conditions reaction …

Implicit Memory For Music In Alzheimer's Disease, Andrea Halpern, Margaret G. O'Connor

Andrea Halpern

Short, unfamiliar melodies were presented to young and older adults and to Alzheimer's disease (AD) patients in an implicit and an explicit memory task. The explicit task was yes–no recognition, and the implicit task was pleasantness ratings, in which memory was shown by higher ratings for old versus new melodies (the mere exposure effect). Young adults showed retention of the melodies in both tasks. Older adults showed little explicit memory but did show the mere exposure effect. The AD patients showed neither. The authors considered and rejected several artifactual reasons for this null effect in the context of the many …

Musical Expertise And Melodic Structure In Memory For Musical Notation, Andrea Halpern

Andrea Halpern

Two experiments plus a pilot investigated the role of melodic structure on short-term memory for musical notation by musicians and nonmusicians. In the pilot experiment, visually similar melodies that had been rated as either "good" or "bad" were presented briefly, followed by a 15-sec retention interval and then recall. Musicians remembered good melodies better than they remembered bad ones: nonmusicians did not distinguish between them. In the second experiment, good, bad, and random melodies were briefly presented, followed by immediate recall. The advantage of musicians over nonmusicians decreased as the melody type progressed from good to bad to random. In …

Memory For Tune Titles After Organized Or Unorganized Presentation, Andrea Halpern

Andrea Halpern

Two experiments investigated the structure of memory for titles of 54 familiar tunes. The titles were presented in the form of a hierarchy, with nodes labeled by genre (e.g., Rock or Patriotic). Four groups of subjects received logical or randomized titles, and logical or randomized labels. Goodness of label and title structure had equal and additive beneficial effects on recall with a 3-min exposure of the stimuli. With a 4-min exposure, good title structure became a larger contributor to good recall. Clustering analyses suggested that subjects were mentally representing the tune titles hierarchically, even when presentation was random.

Memory For The Absolute Pitch Of Familiar Songs, Andrea Halpern

Andrea Halpern

Four experiments were conducted to examine the ability of people without "perfect pitch" to retain the absolute pitch offamiliar tunes. In Experiment 1, participants imagined given tunes, and then hummed their first notes four times either between or within sessions. The variability of these productions was very low. Experiment 2 used a recognition paradigm, with results similar to those in Experiment 1 for musicians, but with some additional variability shown for unselected subjects. In Experiment 3, subjects rated the suitability ofvarious pitches to start familiar tunes. Previously given preferred notes were rated high, as were notes three or four semitones …

Identification, Discrimination, And Selective Adaptation Of Simultaneous Musical Intervals, Robert J. Zatorre, Andrea Halpern

Andrea Halpern

Four experiments investigated perception of major and minor thirds whose component tones were sounded simultaneously. Effects akin to categorical perception of speech sounds were found. In the first experiment, musicians demonstrated relatively sharp category boundaries in identification and peaks near the boundary in discrimination tasks of an interval continuum where the bottom note was always an F and the top note varied from A to A flat in seven equal logarithmic steps. Nonmusicians showed these effects only to a small extent. The musicians showed higher than predicted discrimination performance overall, and reaction time increases at category boundaries. In the second …

Duration Discrimination In A Series Of Rhythmic Events, Andrea Halpern

Andrea Halpern

Duration discrimination of the last of a series of four clicks was investigated. Examination of psychophysical functions from eight subjects revealed evidence for a Weber’s law model relating discrimination to base interclick interval. Also, the point of subjective equality was seen to change reliably as a function of base rate.

Psychiatric Crisis Services In Three Communities, Cheryl Forchuk, Elsabeth Jensen, Mary-Lou Martin, Rick Csiernik, Heather Atyeo

Rick Csiernik

This study compared communities with three models of crisis service: (a) police as part of a specialized mental health team, (b) mental health worker as part of a specialized police team, and (c) informal relationship between police and mental health crisis service. Rural and urban areas were examined and compared. Data included focus groups and participant observation. Analysis revealed that while all communities valued their crisis services, all identified limitations in responsiveness, access, and systems-related issues. Quick access to psychiatric beds was important to services. Rural communities had no public transportation, and an important police role was safe transportation. In …

Diversity And Homelessness: Minorities And Psychiatric Survivors, Cheryl Forchuk, Elsabeth Jensen, Rick Csiernik, Carolyn Gorlick, Susan Ray, Helene Berman, Pamela Mckane, Libbey Joplin

Rick Csiernik

No abstract provided.

Racial And Socioeconomic Disparities In Biological And Perceived Chronic Stress: Does Group Identification Matter?, Kymberlee M. O'Brien, Ed Tronick, Celia L. Moore

Kymberlee M. O'Brien

Objective: Hair cortisol has been recently identified as a biological index of stress via long-term alterations in HPA activity, although population norms and relationships to perceived stress measures have not yet been established. In the present study, 135 adults (ages 18-66; M = 30.26, SD = 12.80; 87 females) from the diverse UMass Boston campus participated in a study assessing chronic stress (via hair cortisol), perceived stress (via self-reported indices), and health indictors (WHR and blood pressure). Since hair grows on average 1cm per month, we captured approximately 3 months of retrospective cortisol levels. Results: Hair cortisol was uncorrelated with …

A Mixed-Methods Study To Characterize Pharmaceutical Marketing In The Nursing Home Setting: Off-Label Use Of Atypical Antipsychotics, Camilla Benedicto, Jennifer L. Donovan, Terry S. Field, Jerry H. Gurwitz, Sarah Foy, Leslie R. Harrold, Abir O. Kanaan, Celeste A. Lemay, Kathleen M. Mazor, Jennifer Tjia, Sruthi Valluri, Becky A. Briesacher

Jennifer Tjia

Background: Despite FDA warnings that atypical antipsychotic medications are associated with an increased risk of death when used to treat behavioral disorders in older adults with dementia, they are prescribed to nearly one-third of older U.S. nursing home (NH) residents. Reasons for their high use in NHs are poorly understood, but may include pharmaceutical marketing efforts in the NH setting.

Methods: This study is nested within an ongoing cluster randomized trial to improve the use of atypical antipsychotics in NHs. We analyzed semistructured interviews (n = 36) and surveys (n = 139) of administrators, directors of nursing and medical directors …

The Interplay Among Preschool Child And Family Factors And The Development Of Odd Symptoms, Elizabeth Harvey, Lindsay A. Metcalfe

Elizabeth (Lisa) Harvey

Objective—The present study examined (a) the interactions between early behavior, early parenting, and early family adversity in predicting later ODD symptoms, and (b) the reciprocal relations between parent functioning and ODD symptoms across the preschool years. Method—Participants were 258 3-year-old children (138 boys and 120 girls) and their parents from diverse backgrounds who participated in a 4-year longitudinal study. Results—Early child behavior, parenting, and family adversity did not significantly interact in the predicted direction. Reciprocal relations between ODD symptoms and parent functioning were observed for maternal and paternal depression, and maternal warmth. Paternal laxness at age 4 predicted ODD symptoms …